Organization Active NPI

Damien LLC

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1174823348
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA1421 Issued in ID
Legal business name
DAMIEN LLC
Practice address
1497 E. Drucker LN
Meridian, ID 83642-9998
Phone
(208) 871-9095
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Devin Orton, D.C.
Title
Owner
Phone
(208) 871-9095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA1421 ID Primary

Addresses

Primary practice location

1497 E. Drucker LN
Meridian, ID 83642-9998

Mailing address

1497 E. Drucker LN
Meridian, ID 83642-9998

Other names 1

  • holistic healing and human performance Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1174823348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 E. DRUCKER LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 E. DRUCKER LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429998",
            "telephone_number": "208-871-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "ORTON",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-871-9095",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "holistic healing and human performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.